1144360678 NPI number — PIERSON FAMILY CHIROPRACTIC, P.C.

Table of content: (NPI 1144360678)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144360678 NPI number — PIERSON FAMILY CHIROPRACTIC, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PIERSON FAMILY CHIROPRACTIC, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144360678
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1936 SCOTLAND AVE
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
CHAMBERSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17201-1450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-261-1499
Provider Business Mailing Address Fax Number:
717-261-1350

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1936 SCOTLAND AVE
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-1450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-261-1499
Provider Business Practice Location Address Fax Number:
717-261-1350
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PIERSON
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
717-261-1499

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  005122L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 542273 . This is a "BLUE SHIELD GROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com